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ASCENSION ALL SAINTS HOSPITAL INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ASCENSION ALL SAINTS HOSPITAL INC (EIN 39-1264986)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-12-05
IRS object ID
201803399349300210
Schema version
2016v3.0
Note
A later return for the same period supersedes this one.
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-12-05T11:01:57-06:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391264986EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Wheaton Franciscan Healthcare - All Saints IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWHEABusinessNameControlTxt
Phone3147338000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13801 Spring StreetAddressLine1Txt
CityRacineCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53405ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTonya MershonPersonNm
Person TitleTax OfficerPersonTitleTxt
Signature2018-05-15SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Bernard Sherry Sr VPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W River Woods PkwyAddressLine1Txt
CityGlendaleCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$394,748,557GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Group Exemption0928GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mywheaton.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1974FormationYr
Legal Domicile StateWILegalDomicileStateCd
Activity Or MissionTo improve the health and well-being of all people in the communities we serve.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee3380TotalEmployeeCnt
Total Volunteers538TotalVolunteersCnt
Total Gross UBI$699,661TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$227,821NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$175,258PYContributionsGrantsAmt
CY Contributions Grants$1,353,263CYContributionsGrantsAmt
PY Program Service Revenue$383,275,046PYProgramServiceRevenueAmt
CY Program Service Revenue$375,125,573CYProgramServiceRevenueAmt
PY Investment Income-$391,279PYInvestmentIncomeAmt
CY Investment Income$65,829CYInvestmentIncomeAmt
PY Other Revenue$25,517,871PYOtherRevenueAmt
CY Other Revenue$10,002,094CYOtherRevenueAmt
PY Total Revenue$408,576,896PYTotalRevenueAmt
CY Total Revenue$386,546,759CYTotalRevenueAmt
PY Grants And Similar Paid$35,493PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$35,586CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$155,221,978PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$127,901,661CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$530,300CYTotalFundraisingExpenseAmt
PY Other Expenses$217,996,020PYOtherExpensesAmt
CY Other Expenses$202,033,745CYOtherExpensesAmt
PY Total Expenses$373,253,491PYTotalExpensesAmt
CY Total Expenses$329,970,992CYTotalExpensesAmt
PY Revenues Less Expenses$35,323,405PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$56,575,767CYRevenuesLessExpensesAmt
Total Assets BOY$509,240,478TotalAssetsBOYAmt
Total Assets EOY$617,303,065TotalAssetsEOYAmt
Total Liabilities BOY$34,410,575TotalLiabilitiesBOYAmt
Total Liabilities EOY$100,955,304TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$474,829,903NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$516,347,761NetAssetsOrFundBalancesEOYAmt
MissionOur Mission as part of a Catholic health care system is to further the healing ministry of Jesus by continually improving the health and well-being of all people, especially the poor, in the communities we serve.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$196,537,876ExpenseAmt
Grant$35,586GrantAmt
Revenue$381,138,855RevenueAmt
DescPart of Ascension Wisconsin, Wheaton Franciscan Healthcare - All Saints, located in Racine, Wisconsin, was formed in 1987 as a not-for-profit corporation owned by St. Luke's Memorial Hospital, Inc. and St. Mary's Medical Center. For more than 100 years prior, these two facilities had been serving the health care needs of Racine in the Episcopal (St. Luke's) and Catholic (St. Mary's) traditions upon which they were founded. In 1991, the two organizations officially affiliated under the same parent organization. The hospital is Racine County's premiere health care provider operating through a network of multi-specialty and primary care physician offices and a medical center delivering care. The Spring Street Campus is All Saints' main campus which houses a 314-bed general acute-care facility providing women's and children's services, general and orthopedic surgery, comprehensive cardiac care including cardiothoracic surgery, cancer care, general medicine, neurology/neurosurgery, a CARF-accredited inpatient rehabilitation program, and outpatient rehabilitation services. In 2016, All Saints opened a newly expanded 32,000 square foot Cancer Center that more than doubled the former space and includes medical and radiation oncology. All Saints offers onsite chemotherapy, infusion therapy, and radiation oncology using TrueBeam technology. All Saints acquired a da Vinci Robotic Surgical System in 2013, and a year later added two 3D Mammography/tomosynthesis technology units. The Spring Street Campus also includes a Level III Perinatal Center and the only Level III Neonatal Intensive Care Unit in Racine and Kenosha counties, has a dedicated cardiovascular institute, emergency care center, walk-in care, medical office buildings, a daycare facility for All Saints employees, and has been designated an Advanced Primary Stroke Center. All Saints also operates the Wisconsin Avenue Campus. This 239-bed hospital specializes in inpatient and outpatient mental health and addiction services for children, adolescents, and adults. Lakeshore Manor, part of the Wisconsin Avenue Campus, is a long-term and transitional care facility providing an additional 50 licensed beds, and has been recognized as a Top Nursing Home by U.S. News and World Report for multiple consecutive years.Desc
Total Program Service Expenses$196,537,876TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee3380EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1David Mannes ControllerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4144653542PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 W River Woods PkwyAddressLine1Txt
CityGlendaleCityNm
State AbbreviationWIStateAbbreviationCd
ZIP53212ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
TRAVIS D ANDERSEN
CHAIR (start 9/2016)1.043.0Yes (X)Yes (X)$0$1,214,959$43,221
Susan Boland
PRESIDENT/VICE CHAIR (end 4/2017)1.039.0Yes (X)Yes (X)$0$490,242$62,720
Timothy Richman
Director (start 9/2016)1.039.0Yes (X)$0$239,189$39,828
SALEEM AMAN MD
DIRECTOR (end 9/2016)1.039.0Yes (X)$0$486,378$49,207
MANFRED CHIANG MD
DIRECTOR (end 9/2016)1.039.0Yes (X)$0$625,743$46,972
PATRICK DIEM
DIRECTOR (end 9/2016)1.04.0Yes (X)$0$0$0
BETH GRIFFIN MD
DIRECTOR (end 9/2016)1.03.0Yes (X)$0$0$0
JERRY HARDACRE MD
DIRECTOR (end 9/2016)1.039.0Yes (X)$0$451,384$57,570
Jawwad Khan MD
DIRECTOR (start 9/2016)1.03.0Yes (X)$0$0$0
KEVIN KLUESNER
DIRECTOR (start 9/2016)1.066.0Yes (X)$0$261,820$40,319
THOMAS MAHN MD
DIRECTOR (end 9/2016)1.039.0Yes (X)$0$424,895$51,695
JAMES MAZZULLA MD
DIRECTOR (end 9/2016)1.03.0Yes (X)$0$0$0
KEVIN ROCHE
DIRECTOR (end 9/2016)1.03.0Yes (X)$0$0$0
DANIEL ROSS MD
Director (start 9/2016)37.03.0Yes (X)$368,768$0$44,309
BRIAN SMIGELSKI
DIRECTOR (end 9/2016)1.03.0Yes (X)$0$0$0
DEBRA STANDRIDGE
DIRECTOR (end 9/2016)1.039.0Yes (X)$0$490,937$70,359
Robert Stern MD
Director (start 9/2016)1.039.0Yes (X)$0$320,595$48,431
Seth Teigen
Director (start 9/2016)1.02.0Yes (X)$0$0$0
Bobby Wu MD
Director (start 9/2016)1.039.0Yes (X)$0$232,356$24,424
PAUL MASON
SR VP AND CHIEF OPERATING OFFICER40.00Yes (X)$278,987$0$53,389
David Boman
Pharmacy Director40.00$172,581$0$98,061Yes (X)
Leah Borchardt
Nurse Practitioner40.00$247,454$0$35,999Yes (X)
Leonid Leybovich
Medical Physicist40.00$174,643$0$31,518Yes (X)
MARY OUIMET
VP Patient Care39.01.0$249,897$0$53,579Yes (X)
Timothy Sio
VP Operations40.00$205,116$0$11,590Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,697,446TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$5,238,498TotReportableCompRltdOrgAmt
Total Other Compensation$863,191TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K112IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
SODEXO INC & AFFILIATES
4880 PAYSPHERE CIRCLECHICAGOIL60674MAINTENANCE SERVICES$6,585,885
Medical Solutions LLC
1010 N 102nd StreetOmahaNE68114Temporary Staffing Services$1,856,367Suite 300
HOSPITAL SHARED SERVICES
900 South BroadwayDENVERCO80209SECURITY$1,507,862Suite 100
Medical College of Wisconsin Inc
8701 Watertown Plank RdMilwaukeeWI53226Physician Services$1,457,933
All About Staffing Inc
1000 Sawgrass Corporate PkwySunriseFL33323Temporary Staffing Services$1,275,2156th Floor
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$1,352,843RelatedOrganizationsAmt
Government Grants$420GovernmentGrantsAmt
Total Contributions$1,353,263TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE621990$352,143,547$352,143,547
GOVERNMENT EHR INCENTIVES900099$511,787$511,787
PHARMACY REVENUE621990$22,470,239$22,470,239

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$375,125,573TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,973TotalRevenueColumnAmt
Exclusion$62,973ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$484,618RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$484,618RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$484,618TotalRevenueColumnAmt
Exclusion$484,618ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$55,856OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$53,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$2,856OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,856TotalRevenueColumnAmt
Exclusion$2,856ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$14,828,738GrossSalesOfInventoryAmt
Cost Of Goods Sold$8,148,798CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,679,940TotalRevenueColumnAmt
Related Or Exempt Func Income$6,013,282RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$666,658UnrelatedBusinessRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
LITTLE SAINT DAYCARE624410$189,327$189,327
CAFETERIA REVENUE722514$1,207,228$1,207,228
FITNESS CLUB713940$184,139$184,139

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,256,842TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$33,003UnrelatedBusinessRevenueAmt
Exclusion$1,223,839ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,837,536OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$386,546,759TotalRevenueColumnAmt
Related Or Exempt Func Income$381,138,855RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$699,661UnrelatedBusinessRevenueAmt
Exclusion$3,354,980ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$35,586TotalAmt
Program Services$35,586ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$745,453TotalAmt
Management And General$745,453ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$96,898,978TotalAmt
Program Services$76,752,157ProgramServicesAmt
Management And General$19,849,859ManagementAndGeneralAmt
Fundraising$296,962FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,337,310TotalAmt
Program Services$5,019,683ProgramServicesAmt
Management And General$1,298,205ManagementAndGeneralAmt
Fundraising$19,422FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$16,874,527TotalAmt
Program Services$13,366,047ProgramServicesAmt
Management And General$3,456,765ManagementAndGeneralAmt
Fundraising$51,715FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,045,393TotalAmt
Program Services$5,543,488ProgramServicesAmt
Management And General$1,480,457ManagementAndGeneralAmt
Fundraising$21,448FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$67,725,845TotalAmt
Program Services$5,375ProgramServicesAmt
Management And General$67,720,470ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$62,890TotalAmt
Program Services$62,890ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$17,750TotalAmt
Management And General$17,750ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$11,076,607TotalAmt
Program Services$10,869,033ProgramServicesAmt
Management And General$185,989ManagementAndGeneralAmt
Fundraising$21,585FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$56,706TotalAmt
Management And General$40ManagementAndGeneralAmt
Fundraising$56,666FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,080,695TotalAmt
Program Services$398,511ProgramServicesAmt
Management And General$660,343ManagementAndGeneralAmt
Fundraising$21,841FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$233,770TotalAmt
Program Services$1,641ProgramServicesAmt
Management And General$232,129ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,300,348TotalAmt
Program Services$50,046ProgramServicesAmt
Management And General$5,250,302ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$69,965TotalAmt
Program Services$39,308ProgramServicesAmt
Management And General$18,908ManagementAndGeneralAmt
Fundraising$11,749FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$64,980TotalAmt
Program Services$48,565ProgramServicesAmt
Management And General$16,415ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$17,245,857TotalAmt
Program Services$7,199,365ProgramServicesAmt
Management And General$10,045,693ManagementAndGeneralAmt
Fundraising$799FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medical Supplies$53,132,573$53,132,573
Purchased Services$21,946,599$3,224,908$18,721,596$95
Provider Tax$8,333,383$8,333,383
Contract Labor$3,898,462$3,712,688$185,774

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$11,787,315TotalAmt
Program Services$8,742,629ProgramServicesAmt
Management And General$3,016,668ManagementAndGeneralAmt
Fundraising$28,018FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$329,970,992TotalAmt
Program Services$196,537,876ProgramServicesAmt
Management And General$132,902,816ManagementAndGeneralAmt
Fundraising$530,300FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,531BOYAmt
EOY$7,606EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$275,285BOYAmt
EOY$425,172EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$54,781,156BOYAmt
EOY$46,207,205EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$6,139,846BOYAmt
EOY$7,709,122EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,673,011BOYAmt
EOY-$25,623EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$265,497,830LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,441,635LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$248,174,416BOYAmt
EOY$243,056,195EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$198,188,233BOYAmt
EOY$319,923,388EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$509,240,478BOYAmt
EOY$617,303,065EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,400,978BOYAmt
EOY$24,353,714EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$126,593BOYAmt
EOY$58,174EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,883,004BOYAmt
EOY$76,543,416EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,410,575BOYAmt
EOY$100,955,304EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$419,212,154BOYAmt
EOY$516,201,569EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$55,617,749BOYAmt
EOY$146,192EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$474,829,903BOYAmt
EOY$516,347,761EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$509,240,478BOYAmt
EOY$617,303,065EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$56,575,767ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$15,057,909OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$17,750OtherActivitiesAmt
Total Lobbying Expenditures$17,750TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.
Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYLOBBYING EXPENSES REPRESENT THE PORTION OF DUES PAID TO NATIONAL AND STATE HOSPITAL ASSOCIATIONS THAT IS SPECIFICALLY ALLOCABLE TO LOBBYING. WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC. DOES NOT PARTICIPATE IN OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OR STATEMENTS) ANY POLITICAL CAMPAIGN ON BEHALF OF (OR IN OPPOSITION TO) ANY CANDIDATE FOR PUBLIC OFFICE.

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,120,000OtherCostOrOtherBasisAmt
Book Value$4,120,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$216,639,005OtherCostOrOtherBasisAmt
Depreciation$10,669,321DepreciationAmt
Book Value$205,969,684BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,500OtherCostOrOtherBasisAmt
Depreciation$40,111DepreciationAmt
Book Value$14,389BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$36,200,981OtherCostOrOtherBasisAmt
Depreciation$11,306,146DepreciationAmt
Book Value$24,894,835BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,483,344OtherCostOrOtherBasisAmt
Depreciation$426,057DepreciationAmt
Book Value$8,057,287BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$243,056,195TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
NOTE RECEIVABLE
Due from Affiliates$310,687,660
Estimated Settlements from Third-Party Payor$3,592,112
Gross Other Receivables$5,326,867
Miscellaneous Assets$316,749
FieldValueIRS element (for citing)
Total Book Value Other Assets$319,923,388TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
ASBESTOS ABATEMENT LIABILITY
Estimated Settlement to Third-Party Payor$4,219,616
Other Liabilities$2,504,418
Valuation Allowance$2,298,505
Due to Affiliates$66,643,740
Recovery Tail Liability$853,307
Accrued Tax Liability$23,830
FieldValueIRS element (for citing)
Total Liability$76,543,416TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE SYSTEM ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE SYSTEM HAS DETERMINED THAT NO MATERIAL UNRECOGNIZED TAX BENEFITS OR LIABILITIES EXIST AS OF JUNE 30, 2017.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,909,680TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,909,680NetCommunityBenefitExpnsAmt
Total Expense0.0149TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,036,988TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,471,100DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,565,888NetCommunityBenefitExpnsAmt
Total Expense0.0714TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$78,946,668TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,471,100DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,475,568NetCommunityBenefitExpnsAmt
Total Expense0.0863TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served14850PersonsServedCnt
Total Community Benefit Expns$172,025TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,670DirectOffsettingRevenueAmt
Net Community Benefit Expns$143,355NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served785PersonsServedCnt
Total Community Benefit Expns$4,316,282TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,316,282NetCommunityBenefitExpnsAmt
Total Expense0.0131TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served1PersonsServedCnt
Total Community Benefit Expns$1,828,572TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$158,511DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,670,061NetCommunityBenefitExpnsAmt
Total Expense0.0051TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$36,121TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$36,121NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served36118PersonsServedCnt
Total Community Benefit Expns$29,683TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$900DirectOffsettingRevenueAmt
Net Community Benefit Expns$28,783NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs28ActivitiesOrProgramsCnt
Persons Served51754PersonsServedCnt
Total Community Benefit Expns$6,382,683TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$188,081DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,194,602NetCommunityBenefitExpnsAmt
Total Expense0.0188TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs28ActivitiesOrProgramsCnt
Persons Served51754PersonsServedCnt
Total Community Benefit Expns$85,329,351TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$50,659,181DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,670,170NetCommunityBenefitExpnsAmt
Total Expense0.1051TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$133TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$133NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served2107PersonsServedCnt
Total Community Benefit Expns$17,297TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,432NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$38TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$38NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served1130PersonsServedCnt
Total Community Benefit Expns$458TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$458NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served84PersonsServedCnt
Total Community Benefit Expns$40,028TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,028NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs11ActivitiesOrProgramsCnt
Persons Served3321PersonsServedCnt
Total Community Benefit Expns$57,954TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$52,089NetCommunityBenefitExpnsAmt
Total Expense0.0002TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$4,681,957BadDebtExpenseAmt
Bad Debt Expense Attributable$266,802BadDebtExpenseAttributableAmt
Reimbursed By Medicare$127,915,902ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$147,910,564CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$19,994,662MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
WFH-ALL SAINTS - SPRING STREET CAMPUS
13801 SPRING STRACINEWI53405HTTP://WWW.MYWHEATON.ORG/ALL-SAINTS/123 (WI)Yes (X)Yes (X)Yes (X)Yes (X)1
WFH-ALL SAINTS - WI AVE CAMPUS
21320 WISCONSIN AVERACINEWI53403HTTP://WWW.MYWHEATON.ORG/ALL-SAINTS/123 (WI)Yes (X)Yes (X)Yes (X)1

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line11BusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.mywheaton.org/app/files/public/4328/2016-chna-report-all-saints-spring-street.pdf OR httOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.mywheaton.org/app/files/public/4336/2016-chna-implementation-plan-all-saints-spring-streStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.mywheaton.org/about-wheaton/billing-information/#policyFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.mywheaton.org/about-wheaton/billing-information/#policyFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.mywheaton.org/about-wheaton/billing-information/#policyFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility 1, 1Facility 1, 1 - WFH-ALL SAINTS. WHEATON FRANCISCAN HEALTHCARE PARTNERED WITH THE MILWAUKEE HEALTH CARE PARTNERSHIP WHICH INCLUDES AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, COLUMBIA ST. MARY'S HEALTH SYSTEM, FROEDTERT HEALTH AND PUBLIC HEALTH DEPARTMENTS TO COLLABORATIVELY CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. THIRD-PARTY ORGANIZATIONS, JKV RESEARCH, LLC AND CENTER FOR URBAN POPULATION HEALTH WERE CONTRACTED TO HELP CONDUCT THE ASSESSMENT. THE ASSESSMENT CONSISTED OF 3 KEY PROCESSES IN ORDER TO OBTAIN DATA, A TELEPHONE HEALTH SURVEY, SECONDARY DATA RESEARCH AND KEY INFORMANT INTERVIEWS AND FOCUS GROUPS. A TOTAL OF 1,967 TELEPHONE INTERVIEWS WERE COMPLETED BETWEEN FEBRUARY 2 AND MARCH 3, 2015 FOR RACINE COUNTY INCLUDING 400 INTERVIEWS DURING THE SAME TIMEFRAME FOR THE CITY OF RACINE. THE THIRD PIECE OF THE ASSESSMENT PROCESS WAS CONDUCTING INTERVIEWS AND FOCUS GROUPS WITH KEY STAKEHOLDERS IN THE COMMUNITY IN THE SPRING AND SUMMER OF 2015. A LIST OF ORGANIZATIONS THAT PROVIDED INPUT ARE LISTED BELOW. T DENOTES THIS ORGANIZATION REPRESENTS LOW-INCOME POPULATIONS. TT DENOTES THIS ORGANIZATION REPRESENTS MEDICALLY UNDERSERVED POPULATIONS. TTT DENOTES THIS ORGANIZATION REPRESENTS MINORITY POPULATIONS. AURORA HEALTH CARE TTT AURORA HEALTH CARE - WESTERN RACINE COUNTY T,TT,TTT AURORA MEMORIAL HOSPITAL OF BURLINGTON BURLINGTON AREA SCHOOL DISTRICT T,TT,TTT BURLINGTON CHAMBER OF COMMERCE T,TT,TTT BURLINGTON RESCUE SQUAD T,TT CENTRAL RACINE COUNTY HEALTH DEPARTMENT T,TT,TTT CITY OF BURLINGTON FIRE DEPARTMENT HENRY E. ZIMMERMANN, DDS, SC RACINE CITY HEALTH DEPARTMENT T,TT,TTT RACINE FAMILY YMCA T,TT,TTT RACINE POLICE DEPARTMENT T,TT,TTT
Schedule H, Part V, Section B, Line 6a Facility 1, 1Facility 1, 1 - WFH-ALL SAINTS. FOR ALL OUR HOSPITAL FACILITIES, OUR COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, COLUMBIA ST. MARY'S HEALTH SYSTEM, AND FROEDTERT HEALTH.
Schedule H, Part V, Section B, Line 6b Facility 1, 1Facility 1, 1 - WFH-ALL SAINTS. MILWAUKEE HEALTH CARE PARTNERSHIP WHICH INCLUDES THE FOLLOWING PARTNERS: AURORA HEALTH CARE, CHILDREN'S HOSPITAL OF WISCONSIN, COLUMBIA ST. MARY'S HEALTH SYSTEM, FROEDTERT HEALTH, PROGRESSIVE COMMUNITY HEALTH CENTERS, MILWAUKEE HEALTH SERVICE, INC., SIXTEENTH STREET COMMUNITY HEALTH CENTERS, MEDICAL COLLEGE OF WISCONSIN, CITY OF MILWAUKEE HEALTH DEPARTMENT, MILWAUKEE COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES, WISCONSIN DEPARTMENT OF HEALTH SERVICES, THE MEDICAL SOCIETY OF MILWAUKEE COUNTY, THE MILWAUKEE FREE CLINIC COMMUNITY COLLABORATIVE, WISCONSIN STATEWIDE HEALTH INFORMATION NETWORK (WISHIN), WISCONSIN HOSPITAL ASSOCIATION, WISCONSIN PRIMARY HEALTH CARE ASSOCIATION. ADDITIONALLY THE RACINE COUNTY HEALTH DEPARTMENT HELPED TO CONDUCT THE CHNA.
Schedule H, Part V, Section B, Line 7 Facility 1, 1Facility 1, 1 - WFH-ALL SAINTS. SEVERAL REPORTS APPLICABLE TO OUR WISCONSIN HOSPITAL FACILITIES ARE AVAILABLE AT THE MILWAUKEE HEALTH CARE PARTNERSHIP'S (MHCP) WEBSITE AT HTTP://MKEHCP.ORG/PUBLICATIONS. MHCP IS A PUBLIC / PRIVATE CONSORTIUM DEDICATED TO IMPROVING HEALTH CARE COVERAGE, ACCESS, AND CARE COORDINATION FOR UNDERSERVED POPULATIONS IN MILWAUKEE COUNTY, WITH THE GOALS OF IMPROVING HEALTH OUTCOMES, ELIMINATING DISPARITIES, AND REDUCING THE TOTAL COST OF CARE.
Schedule H, Part V, Section B, Line 11 Facility 1, 1Facility 1, 1 - WFH-ALL SAINTS. Using the CHNA completed in June 2016, the hospital developed, adopted, and worked on executing a three-year Implementation Strategy to address priority community health needs. In Fiscal Year 2017 (Tax Year 2016), the hospital implemented the following plan to address the priority needs: Access to Care -- Assist individuals with access to care -- Provided health education at community events -- Developed community partnerships to address health disparities -- Assisted clients with locating primary care provider Infant Mortality -- Decrease prematurity in Racine County -- Implemented Centering Pregnancy Program -- Provided home visits and care coordination for pregnant women Healthy Lifestyle -- Educate local community on healthy lifestyle topics -- Offered support groups and counseling for clients that are pre-diabetic or diabetic. -- Provided community based health education on smoking cessation, diabetes and hypertension -- Provided clinical nutrition counseling to patients referred by their primary care provider Mental Health -- Promote understanding and awareness -- Collaborated with agencies in Racine County to address mental health concerns -- Provided education on suicide risk, trauma and crisis intervention training Spring Street Campus: While our organization understands the importance of meeting all of the needs of the community, an in depth assessment was completed in which the key leaders involved in the day to day work within the All Saints Campus were able to identify the needs that would be most impacted by the site. Explanation on needs identified in CHNA that are not being addressed: The top health needs identified by All Saints leadership team through the community health needs assessment that were not a part of the current implementation plan were as follows: Coverage: Wheaton Franciscan Healthcare- All Saints feels that this significant need is outside of our scope of services. We are committed to focusing efforts on providing access to care to those within our community regardless of their coverage. We will continue to support other initiatives regarding this need in a secondary capacity when necessary. Alcohol and Drug Use: While Wheaton Franciscan Healthcare- All Saints- Wisconsin Avenue understands this growing concern, at the time of assessment, the resources and expertise were not available to address and make a meaningful impact on alcohol and drug use. During the community health needs assessment process, the Milwaukee Health Care Partnership was made aware of several existing strategies through our key informants. Key informants indicated a number of organizations across sectors are already addressing these issues by providing services, and education is in place within the schools. Specific strategies named include needle exchange and Sharps collection programs, public campaigns and media coverage of the issues, prescription drug drop off locations, the Wisconsin Prescription Drug Monitoring Program (PDMP), medication lock boxes sold at cost, the Community Health Improvement Plan, and community capacity building. We are committed to supporting these efforts in a secondary capacity as necessary. Injury and Violence: All Saints- Wisconsin Avenue feels that this significant need is outside of our scope of services. During the community health needs assessment process, All Saints- Wisconsin Avenue was made aware of several existing strategies through our local law enforcement initiatives. Due to the lack of resources and expertise within Wheaton Franciscan Healthcare- All Saints- Wisconsin Avenue in this area, we have committed to supporting this need in a secondary capacity as necessary. Wisconsin Avenue Campus: While our organization understands the importance of meeting all of the needs of the community, an in depth assessment was completed in which the key leaders involved with work within the All Saints Campus were able to identify the needs that would be most impacted by the site. The top health needs identified by All Saints leadership team through the community health needs assessment that were not a part of the current implementation plan were as follows: Alcohol and Drug Use: While Wheaton Franciscan Healthcare- All Saints- Wisconsin Avenue understands this growing concern, at the time of assessment, the resources and expertise were not available to address and make a meaningful impact on alcohol and drug use. During the community health needs assessment process, the Milwaukee Health Care Partnership was made aware of several existing strategies through our key informants. Key informants indicated a number of organizations across sectors are already addressing these issues by providing services, and education is in place within the schools. Specific strategies named include needle exchange and Sharps collection programs, public campaigns and media coverage of the issues, prescription drug drop off locations, the Wisconsin Prescription Drug Monitoring Program (PDMP), medication lock boxes sold at cost, the Community Health Improvement Plan, and community capacity building. We are committed to supporting these efforts in a secondary capacity as necessary. Injury and Violence: All Saints- Wisconsin Avenue feels that this significant need is outside of our scope of services. During the community health needs assessment process, All Saints- Wisconsin Avenue was made aware of several existing strategies through our local law enforcement initiatives. Due to the lack of resources and expertise within Wheaton Franciscan Healthcare- All Saints- Wisconsin Avenue in this area, we have committed to supporting this need in a secondary capacity as necessary. Infant Mortality: Wheaton Franciscan Healthcare All Saints- Wisconsin Ave. is aware that our Spring Street campus focused on Infant Mortality as a community need to address. We are committed to supporting Spring Street Campus in a secondary capacity when necessary.
Schedule H, Part V, Section B, Line 16 Facility 1, 1Facility 1, 1 - WFH-ALL SAINTS. The filing organization takes several proactive approaches to make patients aware of our financial assistance policy. In addition to our policy being posted on our website and available to anyone who requests one, there is abundant signage throughout our facility explaining our financial assistance policy and how to obtain the actual policy, if desired. Notices regarding the availability of financial assistance are displayed in highly visible locations where there is a significant volume of inpatient or outpatient traffic such as in inpatient and outpatient admitting and registration areas, physician offices, and emergency departments. Brochures describing the policy are available in the same locations, and the policy is discussed at the time of registration or pre-registration, admission, discharge, and with billing for those identified with a need. Patients who call and express a financial hardship with paying their bill will be assisted by a customer service representative, who will assist the patient in setting up an appointment to meet with a financial advocate who will go over the financial assistance policy in detail, get the financial assistance application process started, and educate the patient regarding any questions they may have. Lastly, our patient statements also include notifications about the availability of financial assistance and a phone number to call for more information. Additionally, our Financial Assistance Policy, Financial Assistance Application, and Plain Language Summary are available on our website, https://www.mywheaton.org/about-wheaton/billing-information/#policy. The Financial Assistance Policy and Application have been translated into 8 languages: English, Spanish, Chinese, Hmong, Laotian, Arabic, Russian, and Serbian/Croatian. In the case of our Plain Language Summary, a 9th language (Telugu) is available.
FieldValueIRS element (for citing)
Facility0FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
WFH-ALL SAINTS CARDIOVASCULAR INSTITUTE
3803 SPRING STREETRACINEWI53405CARDIOVASCULAR INSTITUTE
WFH-ALL SAINTS WPOB A & B
3805 SPRING STREETRACINEWI53405PROFESSIONAL OFFICE BUILDING
WFH-ALL SAINTS SPRING ST CLINIC
3807 SPRING STREETRACINEWI53405CLINIC
WFH-ALL SAINTS ST LUKE HLTH PAVILION
3821 SPRING STREETRACINEWI53405HEALTH PAVILION
WFH-ALL SAINTS MOB
1244 WISCONSIN AVERACINEWI53403MEDICAL OFFICE BUILDING
WFH-ALL SAINTS ATRIUM MOB
3811 SPRING STREETRACINEWI53405MEDICAL OFFICE BUILDING
WFH-ALL SAINTS PCP SITE
10340 WASHINGTON AVESTURTEVANTWI53177CLINIC
WFH-ALL SAINTS SOUTHSIDE CLINIC
4328 OLD GREEN BAY ROADMOUNT PLEASANTWI53403CLINIC
WFH-FAMILY CARE CENTER
2400 WEST VILLARD AVENUEMILWAUKEEWI53209CARE CENTER

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7 Detail on Community Benefit ReportingCOMMUNITY BENEFIT AMOUNTS ARE COMPILED USING TOTAL ACTUAL COSTS PER THE HOSPITAL'S MANAGERIAL ACCOUNTING SYSTEM IN USE, WHICH INCLUDES ALL PATIENT SEGMENTS INCLUDING INPATIENT, OUTPATIENT, EMERGENCY ROOM, PRIVATE INSURANCE, MEDICAID, MEDICARE, MEDICARE HMO, UNINSURED, AND SELF-PAY PATIENTS. MEDICARE IS REPORTED USING THE MOST RECENTLY FILED COST REPORT AT THE TIME THE ANNUAL REPORT AND RELATED COMMUNITY BENEFIT INFORMATION IS PUBLISHED. COMMUNITY BENEFIT AMOUNTS WERE DETERMINED FOR EXTERNAL REPORTING PURPOSES, AND AMOUNTS ARE SUMMARIZED USING A SOFTWARE APPLICATION RECOMMENDED BY THE CATHOLIC HEALTH ASSOCIATION BECAUSE IT HAS THE ABILITY TO PROVIDE THE INFORMATION IN A FORMAT SUITABLE FOR SCHEDULE H PRESENTATION. The organization also VOLUNTARILY REPORTS COMMUNITY BENEFIT INFORMATION IN WISCONSIN BY REPORTING THE INFORMATION TO THE WISCONSIN HOSPITAL ASSOCIATION.
Schedule H, Part V, Section B, Line 17 Billing and Collection PolicyDuring tax year 2017, the organization learned via verbal comments of IRS agents at public events that the IRS intends that the "readily obtainable" standard in the 501(r) regulations for the AGB calculation and billing and collection policy is only met if those items are posted to the organization's web site. The organization had interpreted that web posting standard to be a safe harbor after consulting with external counsel and tax advisors, and timely took other steps to make the information readily obtainable. Consequently, the organization does not believe its decision to not post these documents to its web site rises to the level of a failure, nor does it believe the circumstances were either willful or egregious, having otherwise timely taken the steps necessary to attain and continue to maintain compliance with the other requirements related to the billing and collection policy and the AGB, as part of its policies and procedures for ensuring compliance with all aspects of 501(r). However, the organization is making this voluntary disclosure in order to communicate to the IRS the changes it is undertaking in response to the recent IRS informal guidance on this specific point concerning the "readily obtainable" standard, and the fact that the organization has started the work necessary to post its AGB information and billing and collection policy to its web site and will complete those additional postings as soon as reasonably possible. The other web postings required under 501(r) (i.e., those related to the community health needs assessment and the financial assistance policy) were timely completed and continue to remain in place as required. The organization believes its safeguards worked as intended in this case (i.e., the organization has regular communications with a number of external law firms and tax consultants and the timely attention to the recent guidance was supported by the framework of regular access to subject matter experts). These changes are in the process of being incorporated into corporate policies and procedures that apply to the organization.
Schedule H, Part I, Line 7g Subsidized Health ServicesWheaton Franciscan Healthcare has a separately organized entity, Wheaton Franciscan Medical Group, Inc. where all physician clinic costs are grouped. The hospital has therefore not included any physician clinic costs in subsidized health services.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceThe cost of providing charity care, means-tested government programs, and other community benefit programs is estimated using internal cost data, and is calculated in compliance with Catholic Health Association ("CHA") guidelines. The organization uses a cost accounting system that addresses all patient segments (for example, inpatient, outpatient, emergency room, private insurance, Medicaid, Medicare, uninsured, or self pay). The best available data was used to calculate the amounts reported in the table. For the information in the table, a cost-to-charge ratio was calculated and applied.
Schedule H, Part II Community Building ActivitiesIn the area of community building, Ascension All Saints Hospital participates in several community coalitions and other collaborative efforts with the community whose purpose is to improve the health of the community. These include Racine Economic Development Corporation, UW-Parkside Foundation Board Meeting, Health Care Network Board Meeting, Higher Expectation Reach Out and Read Program, and United Way of Racine Board of Directors meetings. By working together with other organizations in the community , we expect to have a greater impact on health. According to the County Health Rankings site, with a shared vision and commitment to improved health, working together can yield better results than working alone. Ascension All Saints also provides job shadowing experiences and mentoring programs for Racine Unified High school students and other preparatory schools in Racine. The hospital offers mentoring and observational learning experiences by having an individual assigned to a staff member (or members) for the purpose of gaining insight about various professional roles and work responsibilities within a health care system. According to the County Health Rankings, employment provides income and, often, benefits that can support healthy lifestyle choices. Unemployment and under employment limit these choices, and negatively affect both quality of life and health overall. Ascension All Saints Hospital staff support local homeless shelters by providing and serving meals to persons living in poverty. Food insecurity has been shown to be linked to increased risk of chronic diseases, particularly among low income populations.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountAfter satisfaction of amounts due from insurance and reasonable efforts to collect from the patient have been exhausted, the Corporation follows established guidelines for placing certain past-due patient balances within collection agencies, subject to the terms of certain restrictions on collection efforts as determined by Ascension Health. Accounts receivable are written off after collection efforts have been followed in accordance with the Corporation's policies. After applying the cost-to-charge ratio, the share of the bad debt expense in fiscal year 2017 was $13,340,122 at charges, ($4,681,957 at cost).
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyThe provision for doubtful accounts is based upon management's assessment of expected net collections considering historical experience, economic conditions, trends in healthcare coverage, and other collection indicators. Periodically throughout the year, management assesses the adequacy of the allowance for doubtful accounts based upon historical write-off experience by payor category, including those amounts not covered by insurance. The results of this review are then used to make any modifications to the provision for doubtful accounts to establish an appropriate allowance for doubtful accounts.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe organization is part of the Ascension Health Alliance's consolidated audit in which the footnote that discusses the bad debt expense begins on page 19.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsA cost to charge ratio is applied to the organization's Medicare Expense to determine the Medicare allowable costs reported in the organization's Medicare Cost Report. Ascension Health and its related health ministries follow the Catholic Health Association (CHA) guidelines for determining community benefit. CHA community benefit reporting guidelines suggest that Medicare shortfall is not treated as community benefit.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceThe filing organization FOLLOWS THE ASCENSION GUIDELINES FOR COLLECTION PRACTICES RELATED TO PATIENTS QUALIFYING FOR CHARITY OR FINANCIAL ASSISTANCE. A PATIENT CAN APPLY FOR CHARITY OR FINANCIAL ASSISTANCE AT ANY TIME DURING THE COLLECTION CYCLE. ONCE QUALIFYING DOCUMENTATION IS RECEIVED, THE PATIENT'S ACCOUNT IS ADJUSTED. PATIENT ACCOUNTS FOR THE QUALIFYING PATIENT IN THE PREVIOUS SIX MONTHS MAY ALSO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE. ONCE A PATIENT QUALIFIES FOR CHARITY OR FINANCIAL ASSISTANCE, ALL COLLECTION ACTIVITY IS SUSPENDED.
Schedule H, Part V, Section B, Line 16a FAP website1 - WFH-ALL SAINTS - SPRING STREET CAMPUS: Line 16a URL: https://www.mywheaton.org/about-wheaton/billing-information/#policy;
Schedule H, Part V, Section B, Line 16b FAP Application website1 - WFH-ALL SAINTS - SPRING STREET CAMPUS: Line 16b URL: https://www.mywheaton.org/about-wheaton/billing-information/#policy;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website1 - WFH-ALL SAINTS - SPRING STREET CAMPUS: Line 16c URL: https://www.mywheaton.org/about-wheaton/billing-information/#policy;
Schedule H, Part VI, Line 2 Needs assessmentIn addition to the CHNA reported in Part V, Section B, All Saints Hospital uses both hospital data and reliable, third party reports, including data from government sources, to assess the health needs of the community it serves. These reports provide information about key health, socioeconomic, and demographic indicators that point to areas of need. All Saints Hospital utilizes this information to determine develop programs and services to be provided for the community. These needs and initiatives are presented to senior leadership and board members to ensure the findings are considered in developing the organization's strategy, policy development, and internal financial and operational decisions.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceThe filing organization iS COMMITTED TO DELIVERING EFFECTIVE, SAFE, PERSON-CENTRIC, HEALTH CARE TO ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. AS A NONPROFIT HOSPITAL (OR HEALTH SYSTEM), IT IS OUR MISSION AND PRIVILEGE TO PLAY THIS IMPORTANT ROLE IN OUR COMMUNITY. STAFF SCREEN UNINSURED PATIENTS AND IF FOUND POTENTIALLY ELIGIBLE FOR A GOVERNMENT FUNDING SOURCE, PROVIDE ASSISTANCE AND/OR RESOURCES TO THE PATIENT AND THEIR FAMILY. IF A PATIENT IS NOT ELIGIBLE FOR A PAYMENT SOURCE, our FINANCIAL ASSISTANCE POLICY COVERS PATIENTS WHO LACK THE FINANCIAL RESOURCES TO PAY FOR ALL OR PART OF THEIR BILLS. ELIGIBILITY FOR FINANCIAL ASSISTANCE IS BASED UPON THE ANNUAL FEDERAL POVERTY GUIDELINES and is provided for tHOSE WHO EARN UP TO 400% OF THE FEDERAL POVERTY LEVEL. The following documents are widELY PUBLICIZEd on the organization's website at: https://www.mywheaton.org/about-wheaton/billing-information/#policy - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY The organization also MAKES PAPER COPIES OF the following DOCUMENTS AVAILABLE UPON REQUEST: - FINANCIAL ASSISTANCE POLICY - FINANCIAL ASSISTANCE APPLICATION - FINANCIAL ASSISTANCE POLICY SUMMARY - LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY - AMOUNT GENERALLY BILLED CALCULATION PAPER COPIES ARE MADE READILY AVAILABLE AS PART OF THE INTAKE, DISCHARGE, AND CUSTOMER SERVICE PROCESSES. UPON REQUEST, PAPER COPIES CAN ALSO BE OBTAINED BY MAIL. The organization INFORMS ITS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY VIA A NOTICE ON PATIENT BILLING STATEMENTS, INCLUDING THE PHONE NUMBER AND WEB ADDRESS WHERE MORE INFORMATION CAN BE OBTAINED. Signage displayed in the emergency room and admission area also INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY.
Schedule H, Part VI, Line 4 Community informationPlease see detailed information provided at Schedule H Part V Section B Lines 1-12 and Part VI Line 5.
Schedule H, Part VI, Line 5 Promotion of community healthThe organization's GOVERNING BODY IS COMPRISED OF PERSONS REPRESENTING DIVERSE ASPECTS AND INTERESTS OF THE COMMUNITY. MANY MEMBERS OF the GOVERNING BODY RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA; WHO ARE NEITHER EMPLOYEES NOR INDEPENDENT CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS OR SPECIALTIES. SURPLUS FUNDS are provided TO FUND IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION, and RESEARCH through DONATIONS from supporting organizations. Please also see Part III for community activities undertaken by this organization, as well as a compilation of regional charity care information.
Schedule H, Part VI, Line 6 Affiliated health care systemThe filing organization IS AN AFFILIATE OF Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc. and ASCENSION HEALTH. The hospital's aFFILIATES ARE LARGE MULTI-FACETED, INTEGRATED, NOT-FOR-PROFIT MINISTRIES INCLUDING HOSPITAL AND NON-HOSPITAL MINISTRIES (PHYSICIAN GROUP PRACTICES, HOSPITAL ORGANIZATIONS, RESEARCH, HOME HEALTH, DURABLE MEDICAL EQUIPMENT AND SENIOR FACILITIES). THESE MINISTRIES WORK TOGETHER TO CARE FOR PATIENTS, JOINED BY COMMON SYSTEMS AND A PHILOSOPHY OF SERVING AS A HEALING PRESENCE WITH SPECIAL CONCERN FOR OUR NEIGHBORS ESPECIALLY THOSE WHO ARE poor or VULNERABLE. THIS COMMUNITY BENEFIT HAPPENS THROUGH ITS FOCUS ON PATIENT CARE, EDUCATION AND RESEARCH. THE ORGANIZATIONS WORK TOGETHER TO SERVE THEIR COMMUNITIES AT THE LOCAL, REGIONAL, STATE AND NATIONAL LEVEL. ASCENSION HEALTH ALLIANCE, D/B/A ASCENSION (ASCENSION), IS A MISSOURI NONPROFIT CORPORATION FORMED ON SEPTEMBER 13, 2011. ASCENSION IS THE SOLE CORPORATE MEMBER AND PARENT ORGANIZATION OF ASCENSION HEALTH, A CATHOLIC NATIONAL HEALTH SYSTEM CONSISTING PRIMARILY OF NONPROFIT CORPORATIONS THAT OWN AND OPERATE LOCAL HEALTHCARE FACILITIES, OR HEALTH MINISTRIES, LOCATED IN 23 OF THE UNITED STATES AND THE DISTRICT OF COLUMBIA. ASCENSION IS SPONSORED BY ASCENSION SPONSOR, A PUBLIC JURIDIC PERSON. THE PARTICIPATING ORGANIZATIONS/ENTITIES OF ASCENSION SPONSOR ARE THE DAUGHTERS OF CHARITY OF ST. VINCENT DE PAUL, ST. LOUISE PROVINCE; THE CONGREGATION OF ST. JOSEPH; THE CONGREGATION OF THE SISTERS OF ST. JOSEPH OF CARONDELET; THE CONGREGATION OF ALEXIAN BROTHERS OF THE IMMACULATE CONCEPTION PROVINCE, INC. - AMERICAN PROVINCE; AND THE SISTERS OF THE SORROWFUL MOTHER OF THE THIRD ORDER OF ST. FRANCIS OF ASSISI - US/CARIBBEAN PROVINCE. The organization PROMOTES THE HEALTH OF THE COMMUNITY BY providing healthcare services in the Southeast Wisconsin area, regardless of the person's ability to pay, because it is our mission to improve the lives of those in the communities we serve.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPITAL SISTERS MISSION OUTREACH CORPORATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line14930 LAVERNA ROADAddressLine1Txt
CitySPRINGFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP62707ZIPCd
FieldValueIRS element (for citing)
Recipient EIN352271729RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Non Cash Assistance$35,586NonCashAssistanceAmt
Valuation Method UsedCOSTValuationMethodUsedDesc
Non Cash AssistanceMEDICAL SUPPLIESNonCashAssistanceDesc
Purpose Of GrantOPERATING SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationWheaton Franciscan Healthcare maintains files and records to manage the decision-making and award process for organizations that it provides community sponsorship dollars to. Decisions are made by a Community Sponsorship Committee with leaders who hold positions in Diversity, Strategic Planning, Mission Services, Marketing and Philanthropy. The Committee generally strives to sponsor organizations that have missions that align with the mission, vision and values of Wheaton Franciscan Healthcare. The committee also looks for certain other criteria when deciding which organizations will receive contributions, including but not limited to supporting healthcare related activities within the Southeast Wisconsin, Iowa, and Illinois markets, supporting programming that work to further diversity and cultural competency, aligning with other WFH business relationships or service lines, supporting student academic achievement or workforce development initiatives, and finally, supporting environmental "green" initiatives. Leaders periodically meet with representatives of sponsored organizations to discuss objectives including how dollars will be spent. Additionally, Wheaton Franciscan Healthcare may, at a later date, ask for documentation in order to monitor that funds were spent for their intended purpose. Currently, confirmation letters are sent to sponsored organizations when award dollars are given, that confirm the dollar amount awarded and the intended purpose, with a request that the recipient acknowledge receipt of the funds in written correspondence. Files are maintained in the Organizational Change and Leadership Performance Department to include copies of letters of request, award and denial letters, additional documentation if requested, and acknowledgement receipts from sponsored organizations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
TRAVIS D ANDERSEN
CHAIR (start 9/2016)$0$564,396$0$517,513$0$133,050$0$13,250$0$29,971$0$1,258,180$0$0
Susan Boland
PRESIDENT/VICE CHAIR (end 4/2017)$0$475,700$0$0$0$14,542$0$48,656$0$14,064$0$552,962$0$0
Timothy Richman
Director (start 9/2016)$0$190,790$0$37,814$0$10,585$0$14,466$0$25,362$0$279,017$0$0
SALEEM AMAN MD
DIRECTOR (end 9/2016)$0$485,056$0$0$0$1,322$0$20,245$0$28,962$0$535,585$0$0
MANFRED CHIANG MD
DIRECTOR (end 9/2016)$0$604,903$0$18,750$0$2,090$0$14,404$0$32,568$0$672,715$0$0
JERRY HARDACRE MD
DIRECTOR (end 9/2016)$0$444,853$0$4,287$0$2,244$0$27,060$0$30,510$0$508,954$0$0
KEVIN KLUESNER
DIRECTOR (start 9/2016)$0$232,817$0$20,208$0$8,795$0$13,238$0$27,081$0$302,139$0$0
THOMAS MAHN MD
DIRECTOR (end 9/2016)$0$420,417$0$1,579$0$2,899$0$20,245$0$31,450$0$476,590$0$0
DANIEL ROSS MD
Director (start 9/2016)$366,400$0$0$0$2,368$0$26,913$0$17,396$0$413,077$0$0$0
DEBRA STANDRIDGE
DIRECTOR (end 9/2016)$0$477,538$0$0$0$13,399$0$47,893$0$22,466$0$561,296$0$0
Robert Stern MD
Director (start 9/2016)$0$315,021$0$0$0$5,574$0$23,625$0$24,806$0$369,026$0$0
Bobby Wu MD
Director (start 9/2016)$0$212,622$0$18,750$0$984$0$12,610$0$11,814$0$256,780$0$0
PAUL MASON
SR VP AND CHIEF OPERATING OFFICER$276,851$0$0$0$2,136$0$27,325$0$26,064$0$332,376$0$0$0
David Boman
Pharmacy Director$168,942$0$0$0$3,639$0$67,680$0$30,381$0$270,642$0$0$0
Leah Borchardt
Nurse Practitioner$242,194$0$3,750$0$1,510$0$13,600$0$22,399$0$283,453$0$0$0
Leonid Leybovich
Medical Physicist$173,595$0$0$0$1,048$0$15,321$0$16,197$0$206,161$0$0$0
MARY OUIMET
VP Patient Care$249,362$0$0$0$535$0$27,256$0$26,323$0$303,476$0$0$0
Timothy Sio
VP Operations$143,822$0$0$0$61,294$0$10,985$0$605$0$216,706$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationWHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC., a related organization of Wheaton Franciscan Healthcare - All Saints, Inc., uses the following to establish the compensation of the organization's President: - Compensation Committee - Independent Compensation Consultant - Compensation Survey or Study - Approval by the Board or Compensation Committee
Schedule J, Part I, Line 4a Severance or change-of-control paymentThe following individual(s) received severance payments from the organization or a related organization: Timothy Sio - $61,095

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 1a AND PART VII SEC B LINES 1 AND 2WHEATON FRANCISCAN HEALTHCARE STREAMLINED THEIR REPORTING OF IRS FORMS 1099-MISC SO THAT MOST 1099-MISC ARE NOW REPORTED USING THE FEIN NUMBER OF THE PARENT ORGANIZATION OR OF A RELATED ORGANIZATION. THE ACTUAL EXPENSE CONTINUES TO BE PAID BY, OR TRANSFERRED TO, THE INDIVIDUAL ENTITY WHICH IS NORMALLY A SUBSIDIARY OR RELATED ORGANIZATION TO THE ORGANIZATION(S) ISSUING THE 1099. FOR THIS REASON, THE READER MAY NOTICE ON SOME 990'S THAT THERE ARE TOP 5 INDEPENDENT CONTRACTORS REPORTED, BUT NO 1099S ARE REPORTED. LIKEWISE, ON THE 990'S OF THE ORGANIZATION(S) REPORTING NUMBER OF 1099'S, THERE MAY BE A DISPROPORTIONATE SHARE OF 1099'S REPORTED AS COMPARED WITH THE ACTUAL EXPENSES AND TOP 5 INDEPENDENT CONTRACTORS REPORTED.
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALIN DETERMINING THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT, THE PROCESS PERFORMED BY WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC., A RELATED ORGANIZATION OF WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC. INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE PRESIDENT WAS COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE COMMITTEE MINUTES. THE INDIVIDUAL WAS NOT PRESENT WHEN HIS COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEESIN DETERMINING COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES, THE PROCESS PERFORMED BY WHEATON FRANCISCAN HEALTHCARE - SOUTHEAST WISCONSIN, INC., A RELATED ORGANIZATION OF WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC., INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. THE EXECUTIVE COMPENSATION COMMITTEE REVIEWED AND APPROVED THE COMPENSATION. IN THE REVIEW OF THE COMPENSATION, THE OFFICERS' SALARIES WERE COMPARED TO INDIVIDUALS AT OTHER ORGANIZATIONS IN THE AREA WHO HOLD THE SAME TITLE. DURING THE REVIEW AND APPROVAL OF THE COMPENSATION, DOCUMENTATION OF THE DECISION WAS RECORDED IN THE MINUTES. INDIVIDUALS WERE NOT PRESENT WHEN THEIR COMPENSATION WAS DECIDED.
Form 990, Part VI, Line 6 Classes of members or stockholdersWheaton Franciscan Healthcare - All Saints, Inc. HAS A SINGLE CORPORATE MEMBER, Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyWheaton Franciscan Healthcare - All Saints, Inc. has a single corporate member, Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc., who has the ability to elect members to the governing body of Wheaton Franciscan Healthcare - All Saints, Inc.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersAll decisions that have a material impact to Wheaton Franciscan Healthcare - All Saints, Inc.'s financial information or corporation as a whole are subject to approval by its sole corporate member, Wheaton Franciscan Healthcare - Southeast Wisconsin, Inc.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyDURING THE RETURN PREPARATION PROCESS, THE TAX DEPARTMENT WORKS WITH OTHER FUNCTIONAL AREAS INCLUDING FINANCE, ACCOUNTING, TREASURY, LEGAL, HUMAN RESOURCES, AND CORPORATE COMPLIANCE FOR ADVICE, INFORMATION AND ASSISTANCE IN ORDER TO PREPARE A COMPLETE AND ACCURATE RETURN. UPON COMPLETION, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S INTERNAL TAX DEPARTMENT WHICH CONSISTS OF ATTORNEYS AND CPAS. A COMPLETE FINAL COPY OF THE RETURN IS PROVIDED TO THE ORGANIZATION'S PRESIDENT, FINANCIAL OFFICER, AND/OR OTHER KEY OFFICERS IN LIEU OF THE FULL BOARD.
Form 990, Part VI, Line 12c Conflict of interest policyThe organization regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Line 19 Required documents available to the publicThe Organization will provide any documents open to public inspection upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOTHER MISC REVENUE - Total Revenue: 1256842, Related or Exempt Function Revenue: , Unrelated Business Revenue: 33003, Revenue Excluded from Tax Under Sections 512, 513, or 514: 1223839;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesTransfer with Alpha Fund - 16454000; EQUITY TRANSFER - -38539108; Transfers with Affiliates - 7027199;
Form 990, Part XII, Line 2c AUDIT COMMITTEEWheaton Franciscan Healthcare-All Saints, Inc. is included in the consolidated financial statements of Ascension Health Alliance. The Finance and Audit committee of Ascension Health Alliance's Board assumes responsibility for the consolidated organization as a whole.
Form 990, Part XII, Line 2b AUDITED FINANCIAL STATEMENTSThe activity of WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC. is reported in the consolidated financial statements of Ascension Health Alliance. No individual audit of WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC. is completed. Therefore, the attached audited financial statements are of Ascension Health Alliance and Affiliates, which include the activity of WHEATON FRANCISCAN HEALTHCARE - ALL SAINTS, INC..
FORM 990, PART I BOX B, AMENDED RETURN - REASON FOR FILING AMENDED RETURNTHE RETURN IS BEING AMENDED FOR THE SOLE PURPOSE OF AMENDING SCHEDULE H AS NEW INFORMATION BECAME AVAILABLE SUBSEQUENT TO THE INITIAL FILING. CHANGES WERE MADE TO SCHEDULE H PART I LINE 7 AND SCH H PART III LINES 5-7 AS FOLLOWS: Part I, 7b, col c, Medicaid expense (as-filed) 76,167,409 Part I, 7b, col c, Medicaid expense (revised) 74,036,988 Part I, 7b, col d, net Medicaid revenue (as-filed) 76,143,901 Part I, 7b, col d, net Medicaid revenue (revised) 50,471,100 Part I, 7b, col e. Net Medicaid shortfall (as-filed) 23,508 Part I, 7b, col e. Net Medicaid shortfall (revised) 23,565,888 Part III, 5, net Medicare revenue received (as-filed) 141,362,923 Part III, 5, net Medicare revenue received (revised) 127,915,902 Part III, 6, Medicare expense (as-filed) 150,642,396 Part III, 6, Medicare expense (revised) 147,910,564 Part III, 7, net Medicare (shortfall) (as-filed) (9,279,473) Part III, 7, net Medicare shortfall (revised) (19,994,662)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (53 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndBusiness Name Line2DisregardedEntityName/BusinessNameLine2Txt
ASCENSION HEALTH ALLIANCE
PO BOX 45998ST LOUISMO63145453358926NATIONAL HEALTHMO501(c)(3)Type INAfalse
ASCENSION HEALTH
PO BOX 45998ST LOUISMO63145311662309NATIONAL HEALTHMO501(c)(3)Type IASCENSION HEALTH ALLIANCEfalse
COLUMBIA ST MARY'S INC
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212391834639Parent CorporationWI501(c)(3)Type IASCENSION HEALTHfalse
MINISTRY HEALTH CARE INC
10925 W LAKE PARK DR STE 100MILWAUKEEWI53224391490371PARENT CORPORATIONWI501(c)(3)Type IIASCENSION HEALTHfalse
Wheaton Franciscan Healthcare - Southeast Wisconsin Inc
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391568865Parent CorporationIL501(c)(3)Type III-FIASCENSION HEALTHfalse
COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INC
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212390806315HOSPITALWI501(c)(3)3COLUMBIA ST MARY'S INCYes (true)
COLUMBIA ST MARY'S HOSPITAL OZAUKEE INC
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212390807063HOSPITALWI501(c)(3)3COLUMBIA ST MARY'S INCYes (true)
SACRED HEART REHABILITATION INSTITUTE Inc
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212390902199Rehab ServicesWI501(c)(3)3COLUMBIA ST MARY'S INCYes (true)
AFFINITY HEALTH SYSTEM
1570 MIDWAY PLACEMENASHAWI54952391568866HEALTH SYSTEMIL501(c)(3)Type IIMINISTRY HEALTH CARE INCYes (true)
AGAPE COMMUNITY CENTER OF MILWAUKEE INC
6100 NORTH 42ND STREETMILWAUKEEWI53209391461846COMMUNITY CENTERWI501(c)(3)7MINISTRY HEALTH CARE INCYes (true)
Ascension EAGLE RIVER MEMORIAL HOSPITAL INC fka Eagle River Memorial Hospit
201 HOSPITAL ROADEAGLE RIVERWI54521390985690HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)al Inc
Ascension GOOD SAMARITAN Hospital Inc fka Good Samaritan Health Center of M
601 SOUTH CENTER AVENUEMERRILLWI54452390808503HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)errill WI Inc
ASCENSION OUR LADY OF VICTORY HOSPITAL INC fka Our Lady of Victory Hospital
1120 PINE STREETSTANLEYWI54768390807065HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)Inc
Ascension SACRED HEART-STMARY'S HOSPITALS INC fka Sacred Heart-Saint Mary's
PO BOX 347STEVENS POINTWI54481391390638HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)Hospitals Inc
Ascension St Clare's Hospital Inc fka Saint Clare's Hospital of Weston Inc
3400 MINISTRY PARKWAYWESTONWI54476721531917HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
Ascension St Michael's Hospital Inc fka Saint Michael's Hospital of Stevens
900 ILLINOIS AVENUESTEVENS POINTWI54481390808443HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)Point Inc
HOWARD YOUNG HEALTH CARE INC
240 MAPLE STREETWOODRUFFWI54568391499115HOME OFFICEWI501(c)(3)Type IIMINISTRY HEALTH CARE INCYes (true)
MERCY MEDICAL CENTER OF OSHKOSH INC
500 S OAKWOOD ROADOSHKOSHWI54904390806268HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
MINISTRY MEDICAL GROUP INC
824 ILLINOIS AVENUESTEVENS POINTWI54481391965593Medical GroupWI501(c)(3)Type III-FIMINISTRY HEALTH CARE INCYes (true)
SAINT ELIZABETH'S HOSPITAL OF WABASHA INC
1200 GRANT BLVD WESTWABASHAMN55981410693877HOSPITALMN501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
SAINT JOSEPH'S HOSPITAL OF MARSHFIELD INC
611 SAINT JOSEPH AVENUEMARSHFIELDWI54449391847631HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
ST ELIZABETH HOSPITAL INC
1506 S ONEIDA STREETAPPLETONWI54915390816818HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
THE HOWARD YOUNG MEDICAL CENTER INC
240 MAPLE STREETWOODRUFFWI54568390873606HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
DOOR COUNTY MEMORIAL HOSPITAL Inc
323 SOUTH 18TH AVENUESTURGEON BAYWI54235390806324HOSPITAL (sold 11/2016)WI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
Ascension CALUMET Hospital Inc fka Calumet Medical Center Inc
614 MEMORIAL DRIVECHILTONWI53014390905385HOSPITALWI501(c)(3)3MINISTRY HEALTH CARE INCYes (true)
Wheaton Franciscan Healthcare - Franklin Inc
10101 SOUTH 27TH STREETFRANKLINWI53132562592868HOSPITALWI501(c)(3)3Wheaton Franciscan Healthcare - Southeast Wisconsin IncYes (true)
Wheaton Franciscan Healthcare - Pharmacy Enterprises & Franciscan Woods Inc
19525 WEST NORTH AVENUEBROOKFIELDWI53005391613624PHARMACYWI501(c)(3)10Wheaton Franciscan Healthcare - Southeast Wisconsin IncYes (true)
Wheaton Franciscan Healthcare - St Francis Inc
3237 SOUTH 16TH STREETMILWAUKEEWI53215390907740HOSPITALWI501(c)(3)3Wheaton Franciscan Healthcare - Southeast Wisconsin IncYes (true)
Wheaton Franciscan Laboratories Inc
3237 SOUTH 16TH STREETMILWAUKEEWI53215391701402LABORATORYWI501(c)(3)10Wheaton Franciscan Healthcare - Southeast Wisconsin IncYes (true)
Wheaton Franciscan Medical Group Inc
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391791586Medical GroupWI501(c)(3)3Wheaton Franciscan Healthcare - Southeast Wisconsin IncYes (true)
Wheaton Franciscan Inc
5000 WEST CHAMBERS STREETMILWAUKEEWI53210390816857HOSPITALWI501(c)(3)3Wheaton Franciscan Healthcare - Southeast Wisconsin IncYes (true)
WHEATON FRANCISCAN HOME HEALTH & HOSPICE Inc
3070 North 51st Street Suite 406MILWAUKEEWI53210391559428HOME HEALTHWI501(c)(3)10Wheaton Franciscan Healthcare - Southeast Wisconsin IncYes (true)
CATALPA HEALTH INC
N4642 COUNTY NAPPLETONWI54914454681563Behavioral Health ServicesWI501(c)(3)3AFFINITY HEALTH SYSTEMYes (true)
MERCY HEALTH FOUNDATION INC
PO BOX 3370OSHKOSHWI54903237140261FOUNDATIONWI501(c)(3)10AFFINITY HEALTH SYSTEMYes (true)
NETWORK HEALTH SYSTEM INC
1570 APPLETON RDMENASHAWI54952391127163CLINICAL HEALTHCARE SERVICESWI501(c)(3)3AFFINITY HEALTH SYSTEMYes (true)
ST ELIZABETH HOSPITAL FOUNDATION INC
1506 S ONEIDA STREETAPPLETONWI54915391256677FOUNDATIONWI501(c)(3)7AFFINITY HEALTH SYSTEMYes (true)
GOOD SAMARITAN HEALTH CENTER FOUNDATION OF MERRILL WISCONSIN INC
601 SOUTH CENTER AVENUEMERRILLWI54452391627755FOUNDATIONWI501(c)(3)Type IAscension Good Samaritan Hospital IncYes (true)
MINISTRY WEIGHT MANAGEMENT INC
2251 NORTH SHORE DRIVERHINELANDERWI54501391829015Specialty Health ServicesWI501(c)(3)3Ascension SACRED HEART - STMARY'S HOSPITALS INCYes (true)
FOUNDATION OF SAINT CLARE'S HOSPITAL OF WESTON INC
3400 MINISTRY PARKWAYWESTONWI54476753193633FOUNDATIONWI501(c)(3)Type IAscension St Clare's Hospital IncYes (true)
SAINT MICHAEL'S FOUNDATION OF STEVENS POINT INC
900 ILLINOIS AVENUESTEVENS POINTWI54481391657410FoundationWI501(c)(3)Type IAscension St Michael's Hospital IncYes (true)
COLUMBIA COLLEGE OF NURSING Inc
4425 NORTH PORT WASHINGTON ROADGLENDALEWI53212391596986COLLEGEWI501(c)(3)2COLUMBIA ST MARY'S HOSPITAL MILWAUKEE INCYes (true)
DR KATE NEWCOMB CONVALESCENT CENTER INC
PO BOX 829WOODRUFFWI54568391357365NURSING/ASSISTED LIVING SERVICESWI501(c)(3)10HOWARD YOUNG HEALTH CARE INCYes (true)
HOWARD YOUNG FOUNDATION INC
240 MAPLE STREETWOODRUFFWI54568391521169FOUNDATIONWI501(c)(3)7HOWARD YOUNG HEALTH CARE INCYes (true)
FOUNDATION OF SAINT JOSEPH'S HOSPITAL OF MARSHFIELD Inc
611 SAINT JOSEPH AVENUEMARSHFIELDWI54449391684957FOUNDATIONWI501(c)(3)Type ISAINT JOSEPH'S HOSPITAL OF MARSHFIELD INCYes (true)
Volunteers in Partnership with Wheaton Franciscan Healthcare - All Saints I
3807 SPRING STREETRACINEWI53405930838390FOUNDATIONWI501(c)(3)10Wheaton Franciscan Healthcare - All Saints IncYes (true)nc
Wheaton Franciscan Healthcare - All Saints Foundation Inc
3805B SPRING STREETRACINEWI53405391570877FOUNDATIONWI501(c)(3)7Wheaton Franciscan Healthcare - All Saints IncYes (true)
Wheaton Franciscan Healthcare - Circle of Life Foundation Inc
4300 WEST BROWN DEER RD STE 2BROWN DEERWI53223562426294FOUNDATIONWI501(c)(3)Type IWheaton Franciscan Healthcare - Pharmacy Enterprises & Franciscan Woods IncYes (true)
Wheaton Franciscan Healthcare - Foundation for St Francis and Franklin Inc
3237 SOUTH 16TH STREETMILWAUKEEWI53215320135258FOUNDATIONWI501(c)(3)Type IWheaton Franciscan Healthcare - St Francis IncYes (true)
METRO PHYSICIANS INC
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212943436893Medical GroupWI501(c)(3)3Wheaton Franciscan Medical GroupYes (true)
Wheaton Franciscan - ELMBROOK MEMORIAL FOUNDATION Inc
3237 SOUTH 16TH STREETMILWAUKEEWI53215392028808FOUNDATIONWI501(c)(3)Type IWheaton Franciscan IncYes (true)
Wheaton Franciscan - St Joseph Foundation Inc
5000 WEST CHAMBERS STREETMILWAUKEEWI53210391636804FOUNDATIONWI501(c)(3)Type IWheaton Franciscan IncYes (true)
Wheaton Franciscan Healthcare - ELMBROOK MEMORIAL AUXILIARY
19333 WEST NORTH AVENUEBROOKFIELDWI53045396068950AUXILIARYWI501(c)(3)Type III-FIWheaton Franciscan IncYes (true)
HORIZON HOME CARE & HOSPICE INC
8949 N DEERBROOK TRLBROWN DEERWI53223391171298HOME CARE / HOSPICEWI501(c)(3)3NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1TWINMED LLPBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1222 W College Ave Suite 3BAddressLine1Txt
CityAppletonCityNm
State AbbreviationWIStateAbbreviationCd
ZIP54911ZIPCd
FieldValueIRS element (for citing)
EIN391180341EIN
Primary ActivitiesReal EstatePrimaryActivitiesTxt
Legal Domicile StateWILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Prospect Medical Commons Condominium Association Inc
4425 N PORT WASHINGTON RDGLENDALEWI53212208042108CONDO ASSOCIATIONWINAC CorporationYes (true)
Franklin Medical Office Building Condominium Association Inc
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212341983857CONDO ASSOCIATIONWINAC CorporationYes (true)
Wheaton Franciscan Holdings Inc
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391836357HOLDING COWINAC CorporationYes (true)
Wheaton Franciscan Provider Network Inc
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391952140PROVIDER CONTRACTWINAC CorporationYes (true)
Madison Medical Affiliates Inc
4425 N PORT WASHINGTON RDGLENDALEWI53212391855720HEALTHCAREWINAC CorporationYes (true)
Wheaton Way Condominium Owners Association Inc
10101 SOUTH 27TH STREETFRANKLINWI53123300659830CONDO ASSOCIATIONWINAC CorporationYes (true)
Wheaton Franciscan Enterprises Inc
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391985204HOLDING COWINAC CorporationYes (true)
Wheaton Franciscan Medical Group - Sussex Inc
400 WEST RIVER WOODS PARKWAYGLENDALEWI53212391361100HEALTHCAREWINAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxtBusiness Name Line2OtherOrganizationName/BusinessNameLine2Txt
Wheaton Franciscan Healthcare - All Saints Foundation Inc
C$1,296,843FMV
Volunteers in Partnership with Wheaton Franciscan Healthcare - All Saints I
C$56,000FMVnc
Wheaton Franciscan Laboratories Inc
P$3,032,670Cost
Wheaton Franciscan Laboratories Inc
Q$161,216Cost